CARISSA MICHELLE CHENEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004555

License Status

NOT RENEWED

Business

First Name

CARISSA

Middle

MICHELLE

Last Name

CHENEY

Business Name

CARISSA MICHELLE CHENEY

Original Issue Date

11/07/2012

Effective Date

11/07/2012

Expiration Date

03/01/2014

City

DE WITT

State

Zip

52742

County

IOWA

Ever Disciplined

LastModifiedDate

04/08/2014